COMPARATIVE ANALYSIS OF TMJ TOMOGRAPHIC IMAGES IN PATIENTS WITH DYSFUNCTIONAL SYNDROME OF TMJ

The radiographic imaging brings valuable information on the TMJ morphology, statics and dynamics and there are several methods described in the literature to determine condylar position. 20 patients, 10 men and 10 women, with ages between 20 and 42 years, were evaluated. The patients came for treatment to the Dental Medicine Training Centre of the Faculty of Dental Medicine at “Grigore T. Popa” University of Medicine and Pharmacy of Iasi. All the patients included in the study group were affected by the TMJ dysfunctional syndrome intercepted at various stages of evolution. The patients were clinically and radiographically evaluated, after which they were supposed to receive medical care according to the standard treatment algorithm of the clinic. In five out of ten analysed cases of the group, asymmetries of condyle position were present on the right rather than on the left, either through anterior positions of the condyle to the centre of the glenoid fossa in four cases or a posterior position in one case. Only in 5 cases for group 1 and 2 cases for group 2, equal right-left starting positions of the condyles were found. In the other cases, either anterior or posterior displacements of the C condylar centre appear in relation to the morphological elements of the joint

STATISTICAL STUDY ON THE PREVALENCE OF DENTAL LESIONS OF THE ANTERIOR SEGMENT OF THE DENTAL ARCHES AND THE CALL FOR TREATMENT FOR THESE LESIONS –PART 1

The work performed within Clinical Base of the Gr. T. Popa U.M.P., Faculty of Dental Medicine Iași, has a number of objectives the materialization of which brings forth a new trend of dental medicine, towards a properly coordinated prophylaxis focused on the real needs of the population.The purpose of the study commencement consists in: evaluation of population’s oral health, on categories and age groups; determination of the local factor impact on health; assessment of dental care usage level in Moldova region; provision of statistical data regarding the oral health of the population in Romania; implementation of evaluation systems and of the data processing standard, in order to achieve oral health programs. A clinical record to contain data regarding the following section was created: environmental factors, anthropology, general condition of the body, prophylaxis, dental medicine. The study was conducted on a batch consisting of 646 patients from various social backgrounds and age categories, of which, a batch with age between 18-50 was selected. We deem the presentation of distribution according to age and sex of the whole batch, interesting. For a clearer vision, we considered a 5 to 10 year range. Our purpose, in this study, was to emphasize the extent of damage in the investigated population comprising patients aged between 18 and 50, the batch size and study scale allowing us to conclude that there are well defined clinical entities in the sphere of oral pathology. The clinical circumstance represented by lesions and existing treatments is dominant in the upper front group by the existing fillings and fixed prosthetics

AFFECTATION BY THE DYSFUNCTIONAL SYNDROME OF AN ADULT GROUP OF POPULATION – STATISTICAL STUDY

ABSTRACT. The aim of this study is to emphasise the prevalence of the affectation by the dysfunctional syndrome of a heteromorphic group of population represented by all the patients of the Fixed Dental Prosthesis Clinic, GR. T. POPA UNIVERSITY OF MEDICINE AND PHARMACY Iași, for a period of 5 years.Material and method A number of 6507 clinical consultation sheets, which represent the total number of patients of the clinic for a period of 5 years, was analysed.Results The results of the study confirm the existence of a susceptibility dyshomeostasis as a clinical entity and the importance of specific paraclinical investigations. Conclusions For an extremely heteromorphic group of population, with a majority of 67,13% of cases with ages over 35 years, the most frequent disorders were the occlusal disorders and the mandibular-cranial malrelations

Research Regarding Dental Mobility Phenomena in the Clinical Recognition Diagnosis of Temporomandibular Disorders

The main objective of this study is to quantify the implications of the complications of periodontal pathology and dental mobility on the pathology of dysfunctional algo syndrome, a clinical entity with profound implications for the patient’s quality of life. Methodology: Clinical and laboratory evaluation was conducted in the 2018–2022 period, on a group of 110 women and 130 men, aged between 20–69, selected from our practice venue, Policlinica Stomatologica nr. 1 Iasi, Clinical Base of Dentistry Education “Mihail Kogalniceanu” Iasi, “Grigore T. Popa” University of Medicine and Pharmacy Iasi and “Apollonia” University Iasi. Overall, 125 subjects were diagnosed with periodontal disease with complications and TMJ disorders and followed periodontal therapy in the context of oral complex rehabilitation treatments (study group); the results of their clinical evaluation were compared with the results of the evaluation of the control group, made from the other 115 patients). Results: Dental mobility and gingival recession were identified as more frequent in the study sample compared with the control sample, the differences being statistically significant in both cases. In total, 26.7% of patients had different types of TMJ disorders and 22.9% of patients had occlusal changes; the percentages are slightly increased in the study sample compared with the control one, but the recorded differences are not statistically significant. Conclusions: Dental mobility, most of the time, is a negative consequence of periodontal disease, leading to the alteration of the mandibular-cranial relations, materializing in an important proportion as an etiopathogenic factor of the dysfunctional syndrome of the stomatognathic system